Economic evaluations Diagnostic studies Use an article about a research study on a clinical issue that interests you. Critically appraise it using the appropriate checklist from CASP or another reliable tool that you are familiar with. You probably have articles that you have identified in other activities that you can use to do this.
Introduction One of the most critical experiences for student nurses is their exposure to patients in the clinical. It is where they encounter the human side of nursing. From an educational perspective, the clinical placement is the venue where skills, knowledge and attitudes developed in the theoretical part of the curriculum are applied, developed and integrated Newton et al.
Learning in clinical practice provides up to half of the educational experience for students taking Bachelor of Science in Nursing. Chan  accounts that among student nurses, the clinical nursing environments is perceived as the most influential context for gaining nursing skills and knowledge.
From a clinical perspective, the nurses who preceptor and guide nursing students through weeks of learning experiences see them as potential new recruits to their specialty field of nursing Happel  Regardless of the perspective on clinical placements, a plethora of studies have found that clinical placement experiences may influence positively on nursing students attitudes towards the clinical setting in question Fagerberg et al.
Graduate nurses contend that they are more likely to apply for work in settings where they had positive experiences during undergraduate clinical placements Edwards et al.
It is therefore an important task to ensure good learning environments in all clinical settings used in nursing education. Ironically, in most cases, students are not versed as regards standards and measures of clinical work which consequently restricts them in terms of function in a health care setting.
What could have these student nurses experienced during their placement in the clinical setting through their training years? In recent years, nursing education has been focusing on theoretical education and on the deep gap between theoretical and clinical education created.
This gap has been frequently mentioned in the research literature with Sandelands  observing that these two ideas were mutually exclusive. Implication wise, students often struggled to see the connection of the holistic grand theorists with the practical world of nursing.
Another dimension to this challenge was that theoretical developments informed by research often ran ahead of clinical practice.
The theory practice gap created a tension that moved the profession forward over time — new knowledge led to new practices. As a result, the entrance of these unskillful students to the nursing care system, the quality of such falls day to day.
One of the most valuable components of a nursing program is the clinical learning environment CLE. This setting provides students with unique learning opportunities in which classroom theory and skills are put to the test with real life situations. Clinical learning environments include hospitals, school clinics, health departments, hospice units, and other health care settings utilized for student learning.
The CLE differs from the classroom or lab setting in many ways. Typically, the classroom and labs are controlled by instructors. This includes lectures, labs, tests, dress codes, student conduct, break times, attitudes, and the learning environment atmosphere.
Massarweh  described the clinical setting as a clinical class-room. Attitudes, work ethics, staff members, unit environment, equipment and supplies, census, and patients and family members are elements of the CLE that cannot be controlled by instructors. This unpredictable environment is very different from the classroom and can be a major shock for students.
For the application of the theoretical side of nursing in the clinical learning settings, clinical teaching is highly needed. Clinical teaching is the means by which student nurses learn to apply the theory of nursing and facilitating integration of theoretical knowledge and practical skills in the clinical setting which becomes the art and science of nursing.
South African Nursing Council SANC  states that the overall objective of clinical practice is to provide student nurses with meaningful learning opportunities in every area of placement according to the level of training to ensure that on completion of the program, the student nurses are able to nurse efficiently.
This implies that the group should be able to demonstrate the ability to solve problems effectively. Application of a scientific approach to nursing from the initial assessment to the rehabilitation of the patient or client along with an environment which is conducive to learning and provides the appropriate support from skilled practitioners and educators is a must.
Student nurses are found to be on the verge of developing the sense of responsibility for the health and well-being of others as having been introduced to the threshold of clinical practice at early adulthood.
Leaving the safe and supportive teaching environments of their school, they are placed into clinical environments that are perceived as unfamiliar and complex and that require dealings with diverse human relations.Critical reflection is more than just ‘thinking about’ or ‘thoughtful’ practice.
It is a way of ‘critiquing’ our practice in a systematic and rigorous way – helping us to carefully consider what is good and. Published: Mon, 5 Dec The purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection.
According to Bittner and Tobin critical thinking is defined as being “influenced by knowledge and experience, using strategies such as reflective thinking as a part of learning to identify the issues and opportunities, and holistically synthesize the information in nursing practice” and we as nursing students learn this each and every day.
Thus, need to have a good supervision from my clinical preceptor to meet the best possible nursing care to my patient with in my scope of practice [ Understands and practices within own scope of practice].
2 in private practice. The table presented in Evidence 1 lists the CPD activities I have undertaken over the last two years and maps how the learning outcomes from each.
Table 2: Evaluating Additional Roles with Clients. Table 2 is designed to help assess whether blending roles should even be considered.
We adapt from the ideas of many others as well as our own observations and research.